Active NPI
Jessica J Michel, PT, ATC, CSCS
- Physical Therapist
- Sunbury, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT.013333
- Practice address
- 700 W Cherry St
Suite B
Sunbury, OH 43074-8011 - Phone
- (740) 936-4944
- Fax
- (740) 936-0251
- NPI assigned
- Jul 25, 2011
- Last updated
- Jul 28, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT.013333 | OH | Primary |
| Athletic Trainer | 2255A2300X | AT.003269 | OH |
Addresses
Primary practice location
700 W Cherry St
Suite B
Sunbury, OH 43074-8011
Mailing address
625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone (630) 575-1980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 N Miller Dr
Suite B
Sunbury, OH 43074-7630
Phone (740) 936-4944
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT.013333 | OH | MD | Physical Therapist |
| AT.003269 | OH | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Burkam & Associates, LLC | Past | Accepting new patients |
Locations
625 Enterprise Dr
Oak Brook, IL 60523
Phone (630) 575-6250
323 N Breiel Blvd
Middletown, OH 45042
Phone (513) 420-1700
4925 Jackman Rd
Ste 34
Toledo, OH 43613
Phone (567) 318-1000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Athletico Physical Therapy
- Clinic/Center
- Lafayette, IN
- NPI 1053044867
Physical Therapist
-
dba Conley Rehabilitation & Sports Medicine
- Physical Therapy Clinic/Center
- Columbus, OH
- NPI 1306866819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501200000000",
"number": "1427336452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 ENTERPRISE DR",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605238813",
"telephone_number": "630-575-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W CHERRY ST",
"address_2": "SUITE B",
"city": "SUNBURY",
"state": "OH",
"postal_code": "430748011",
"telephone_number": "740-936-4944",
"fax_number": "740-936-0251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHEL",
"first_name": "JESSICA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "PT, ATC, CSCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-25",
"last_updated": "2017-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT.013333",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT.003269",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunbury, OH
- Gabriel Michael Mendenhall, D.C.
- Robert M Metzger, LMT
- Kevin Dale Metzker
- Meyer Dental Concept, LLC (All Smiles of Sunbury)
- MH Health Care Services, PC (Astemo Sunbury)
- Morning View Delaware, Inc. (Country View of Sunbury)
- Katelyn Anne Mueller
- Kathleen Ann Murdock
- Newberry Behavioral Health
- Stephanie Newberry
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.